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Organization

MAHINAKEALO, LLC

Active
Other names
Mahinakealo Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN WALSH PHD (PRACTICE MANAGER)
(808) 300-1064
Entity
Organization

Contact information

Practice address
670 PONAHAWAI ST STE 224, HILO, HI 96720-7829
(808) 300-1064
(808) 400-5886
Mailing address
670 PONAHAWAI ST STE 224, HILO, HI 96720-7829
(808) 300-1064
(808) 400-5886

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
06/02/2020
Last updated
10/12/2022
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